Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06093 | Date 24/01/2024 |
| Token No | SM/22-23/17728 24/01/2024 | Serial | 024 |
| Patient Name | Mrs. PAPIYA GHOSH SARKAR | Contact No | 8017901414 |
| Address | 62 RAJYADHAR GOVT COLONY SERAMPORE 712203 | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||